Individual provider · Type 1 NPI

Lorissa Desharra Baker

Addiction (Substance Use Disorder) Counselor · Brandon, MS

NPI number 1871247064 Active

Practice location

613 Marquette Rd
Brandon, MS 39042-3038

Call (601) 824-1692 Map

Mailing address

PO Box 88
Brandon, MS 39043-0088

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871247064

Lorissa Desharra Baker's National Provider Identifier is 1871247064, issued on Feb 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brandon, MS. The record was last updated on Feb 7, 2022.